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General NPI Number Information
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NPI Number | 1194328666
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Entity Type | Individual
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Provider Name | EMILY NICOLE PARRELL OTR/L
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Gender | Female
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Dates
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Enumeration Date | 11/18/2020
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Last Update Date | 11/18/2020
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Provider Practice Location Address
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Address Line | 9229 ARLINGTON BLVD
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City | FAIRFAX
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State | VA
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Zip | 22031-2504
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Country | US
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Telephone | 908-456-1588
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Fax |
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Provider Business Mailing Address
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Address Line | 1513 CROWNE PARK DR
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City | WINSTON SALEM
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State | NC
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Zip | 27106-6475
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Country | US
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Telephone | 908-468-1588
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 0119-008829
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License Number State | VA
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